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Tennessee rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.56 / $329.90 / $329.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $329.90 / $630.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.70 / $685.34 / $685.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.11 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $448.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.29 / $3,726.17 / $4,468.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,656.22 / $4,656.22 / $5,291.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.26 / $379.90 / $530.29